| NPI | 1245245166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA 208) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 332543) |
| 1041C0700X Social Worker, Clinical (Licence: CA 15952) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-09-01 |